Dear Dr. Miro, My wife of six years, who I love very much, and I are trying to have a baby. This is really embarrassing. I used to be so excited by her and barely able to contain myself. Now, I’m not able to seal the deal. Sometimes I can’t even get hard and when I do, I can’t cum. I think she’s beautiful and such a good woman so that’s not it. Our schedules are pretty hectic with her in med-school and me finally getting a position in the firm I’ve been after, so it’s one more thing stressing me out. We’ve been able to do everything else and I’m really comfortable with our lives so what’s my problem? Sincerely, Can’t Seal the Deal Dear CSD, There is a lot going on here. First, make sure this is not a physical problem. Are you able to get erections and orgasm when you self-pleasure? If not, go see your doctor and get some tests done to rule out diabetes, low blood pressure or a multitude of other possibilities. If yes, then it is definitely psychological. You say you are comfortable – maybe too comfortable? Many times when you get to know somebody really well, the hotness and mystery can dissipate. The yearning, animalistic lust that got you going may have gone away. It’s a lot pressure on a man when he feels like he MUST perform. With everything you are dealing with, no wonder you are stressed! You are NOT a circus animal, jumping through a hoop when commanded. A step back to alleviate some of that command-based sex will help. Even this act of love, which should be a stress reliever, has entered onto the list of things you need to do. Take...